The Nova Scotia Department of Health is intent on enrolling uninformed Nova Scotians in an ill-conceived health-care experiment — one that will reduce patient and physician choice and reduce access to family physicians. No one seems to have reported on the scientific merits of the experiment, bothered to ask people if they want to enroll, [...]
AIMS health policy fellow, Dr. David Zitner, argues healthcare in Nova Scotia is problematic, leading to excessive costs for medical and non-medical health services.
AIMS Senior Fellow in Healthcare Policy David Zitner argues, "one solution to the cost, quality, and access crisis in Canadian mental health is to enable non-medical professionals to provide the talking and behavior therapies that help most people."
AIMS Senior Fellow in Healthcare Policy David Zitner discusses governance problems within Nova Scotia's healthcare system and suggests a number of solutions available for fixing them.
In this article from Healthcare Papers, AIMS Fellow in Health Policy Dr. David Zitner continues to engage his colleagues in a discussion of the inherent bias in a system where insurer also acts as regulator. In looking at the work of another fellow pioneer in this area, George Browman, Zitner finds further compelling evidence that the system is in need of fundamental change.
AIMS Senior Fellow Dr. David Zitner argues the government’s ability to play a regulatory role effectively is hampered because, as the ultimate provider of health care services, government is actually being asked to regulate itself – an impossible conflict of interest.
Dr. David Zitner, AIMS fellow on Health Policy, believes that there is something odd about government being both the sole legal provider and the regulator of health care. In this opinion piece from the Medical Post he outlines for his colleagues in the health professions why this dichotomy is no-ones best interest. Says Zitner, “Governments have been abysmal failures at regulating public health insurance. There are no rules for timely claims settlement or even a well-defined menu of covered services.” The reason for this is quite simple, when government as regulator applies rules to health care, government as insurer must bear the full cost of regulatory compliance. In that circumstance there is a reverse incentive to ensure compliance costs are kept to a minimum with a resulting lack of strict standards, real accountability and regular reporting. Publication: Medical Post, October 15, 2002
In AIMS ongoing effort to expand the debate on health care in Canada, AIMS Fellow in Health Policy, Doctor David Zitner, just published this piece in the Seniors’ Advocate setting out four key questions that should be asked in order to determine whether our health care system is working well and is well managed. Read the full article to see why Canadian seniors and, in fact, all Canadians should be asking: 1. How many people are better after treatment? 2. How many people are worse after treatment – and who are they?(How often do mistakes occur?) 3. How many people have to wait too long for care? 4. Can your Minister of Health, Provincial M.L.A., District Board Chair, or District Board CEO answer the first three questions? Publication: Seniors Advocate, October 2002
This article features Dr. David Zitner, AIMS’ Fellow in Health Care Policy, criticizing BC Premier Gordon Campbell for joining the ranks of other Canadian politicians who are blindly implementing major health care policy without the right information or concrete direction. Drawing from the influential AIMS’ report, Public Health, State Secret, Dr. Zitner stresses that experts, decision makers, and the general public lack crucial information about access to and the actual result of care in this country. This absence of vital information stems from the Canadian government’s monopolistic control over our health care. Publication: VS & OC, May 6, 2002